Posts Tagged ‘voice recognition’
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0 Frisbee Pro® Transcription Workflow Solution: North American Market Debut
Dec 11, 2010. Dragon Medical.
(EHR Scope – December 11, 2010) – Frisbee Pro® is a new transcription workflow solution that has just been released in North America. What makes this module so interesting is that it is integrated with speech recognition technology. The software experienced success in its original EU market, with major clients such as The United Nations (UN Offices at Geneva), the World Trade Organization (WTO) and multinationals ING and William Fry. The detailed customization of the author and transcriptionist profiles, for multiple workflows, is the key to Frisbee’s initial success. There are infinite possibilities for author and transcriptionist messaging profiles: one-to-one, one-to-many, many-to one and many-to-many. Moreover, as a fully HIPAA and HL7 compliant solution, making its debut in the midst of the ARRA EHR Stimulus and Healthcare Information Technology (HIT) reform, Frisbee’s timing could not have been better.
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0 Nuance and Minnesota’s Institute for Clinical Systems Improvement (ICSI) Spearhead the First Statewide Effort to Help Ensure Patients Receive Appropriate High-Tech Diagnostic Imaging Tests
Nov 10, 2010. Press Releases.BURLINGTON, Mass.–(BUSINESS WIRE)–Nuance Communications, Inc. (NASDAQ: NUAN) is today announcing that the Institute for Clinical Systems Improvement (ICSI), a nonprofit organization whose members include 60 medical groups and six sponsoring health plans throughout Minnesota and surrounding states, has licensed Nuance’s RadPort, an electronic, evidence-based, decision-support (e-Ordering) solution to support a statewide initiative to help ensure Minnesotans only receive medically appropriate high-tech (MRI, CT, PET and nuclear cardiology) diagnostic imaging (HTDI) tests.
“At Fairview Health Services, we’re ecstatic over this option. It helps our physicians get patients the right test the first time without an administrative hassle. It flows seamlessly into the normal office procedure and consumes no extra time”
The ICSI initiative, which is the first of its kind in the country, is expected to save the Minnesota healthcare community more than $28 million annually. In addition, ICSI will use Nuance’s RadCube software solution to analyze physician-ordering trends in parallel with patients’ actual clinical outcomes.
“This is an exciting statewide initiative that will yield many patient, provider, health plan and community benefits, and potentially serve as a national model for how to help reduce the more than $100 billion spent annually on high-tech diagnostic imaging tests across the U.S,” said Cally Vinz, vice president of clinical products and strategic initiatives, ICSI. “With Nuance’s electronic decision-support and patient outcome analysis solution, we will work to guide appropriate ordering at the point-of-order to ensure the best exam is ordered for the patient every time. We will also have better insight into physician ordering habits and their impact on patient care.”
After a yearlong pilot program, in which more than 4,000 physicians from five Minnesota medical groups, five health plans (Allina Medical Clinic, Fairview Health Services, HealthPartners Medical Group, Park Nicollet Health Services, and St. Mary’s/Duluth Clinic Health System, BlueCross Blue Shield of Minnesota, HealthPartners, Medica, and UCare) and the Minnesota Department of Human Services used e-Ordering to order HTDI exams, it was found that the exams ordered with evidence-based decision-support technology had an increase in medical appropriateness versus orders initiated without it. The pilot also showed that using decision-support appropriateness criteria in the physician’s office reduced patient exposure to unnecessary radiation, and contributed to a 0 percent increase in HTDI scans ordered in 2007 (following an 8 percent increase in Minnesota in 2006). During the time of the pilot, an estimated $28 million in healthcare cost savings was reported.
Since the pilot, all five medical groups have continued to use the decision-support criteria. The groups report improved patient satisfaction and clinic efficiencies, as well as a reduction in administrative costs. In total, it is estimated that by using e-Ordering for the past three years, the five medical groups have helped save Minnesota $84 million, as there has not been an increase in the use of HTDI scans in Minnesota since 2007.
A Different Approach to Prior Notification
As part of this ICSI-led initiative, Nuance is helping Minnesota medical groups order HTDI exams in the way Minnesota insurers reimburse them, which will reduce administrative costs. Medical groups that use RadPort will likely be able to forego Radiology Benefit Management (RBM) prior notification procedures that require the time-consuming task of completing phone calls to RBM companies to gain assurance of insurer reimbursement for the exam. An RBM is an organization employed by healthcare insurers to manage utilization and costs associated with high-tech diagnostic exams.
With the RadPort process, ordering clinicians enter patient-specific information along with the requested exam into the e-Ordering system; based on the exam’s utility score (clinical appropriateness) the system will either verify the order or provide alternative procedures that better suit the patient’s indications. The physician can then select the recommended procedure, or override the system’s suggestion to move ahead with their originally requested exam.
“At Fairview Health Services, we’re ecstatic over this option. It helps our physicians get patients the right test the first time without an administrative hassle. It flows seamlessly into the normal office procedure and consumes no extra time,” said Barry Bershow, MD, vice president, quality, Fairview Health Services, Minneapolis, MN.
RadPort provides access to a common set of decision-support appropriateness criteria (via direct integration into an electronic health record (EHR) or via a standalone Web portal). RadPort’s appropriateness criteria contains more than 15,000 clinical guidelines that are continuously updated in accordance with patient demographics, imaging procedures, the American College of Radiology (ACR) Appropriateness Criteria®, as well as input from a clinical committee at Massachusetts General Hospital and other leading clinical partners across the country.
Provider Support and Patient Benefits
Electronic decision-support benefits providers, health plans and patients alike. In addition to avoiding the expenses and inefficiency of phone-in RBM prior notification, providers have immediate information about the usefulness of the high-tech imaging test they want to order. Furthermore, the immediate feedback from the RadPort system eliminates patient’s wait times for exam scheduling, reduces the risk of unnecessary radiation exposure, can enhance the patient-physician relationship through point-of-order shared decision making, and expedites high-tech imaging by increasing the likelihood that patients have the appropriate diagnostic study already done when they are referred onto a specialist.
“The ICSI solution is a win-win-win. Physicians aren’t hassled, the patient receives the right test and avoids unnecessary radiation, and the payer – whether health plan, employer, government or patient – incurs no unnecessary expense,” said Patrick Courneya, MD, medical director for care delivery systems, HealthPartners Health Plan.
Nuance’s RadCube software solution will be available for use by Minnesota medical groups and hospital-based clinics that adopt the decision-support e-Ordering option. RadCube is a Web-based intelligence tool for the collection, analysis and sharing of data that can be viewed via one interface for instantaneous analytics to drive appropriate order monitoring, forecasting, and provider productivity. ICSI will also have access to the de-identified data of all medical groups using RadCube, thereby improving the state’s knowledge of which diagnostic imaging tests get the best patient outcomes.
Nuance Working on National Level to Address Costly Inappropriate Imaging
“In alignment with President Obama’s healthcare reform goals, the initiative to reduce unnecessary exams, costs and administrative efforts that do not contribute to better patient care and improved patient outcome is an area ripe for change,” said Mike Mardini, vice president of medical imaging at Nuance. “The ICSI effort is a shining example of how we nationally should be applying healthcare IT to meaningfully impact patient care and cost of delivery. Electronic decision-support provides physicians with the information they need at the point-of-order to support the best care delivery plan possible for the patient. In addition to the $28 million dollars the ICSI initiative is expected to save annually, patients will miss less work, as well as spend less time and money on travel, day-care and co-pays associated with diagnostic imaging tests they do not need.”
As part of this nationwide effort, Nuance co-founded the Imaging e-Ordering Coalition with the Center for Diagnostic Imaging (CDI). This Coalition is compromised of members including Nuance, the Advanced Radiology Consultants, Alliance for Quality Imaging, American College of Radiology (ACR), CDI, Connecticut State Medical Society – IPA, GE Healthcare, Insight Imaging, MedCurrent, Medicalis Corporation, Merge Healthcare and Radnet. Currently, the Coalition is focused on educating the U.S. Congress on issues inline with the ICSI initiative. The Coalition is promoting Health Information Technology enabled decision-support (e-Ordering) as a solution to assure that all patients receive the most medically appropriate diagnostic imaging test for their specific condition at that time of care.
For more information on all of Nuance’s healthcare solutions please visit http://www.nuance.com/for-healthcare/index.htm.
Nuance’s Healthcare Business
Nuance’s healthcare portfolio of proven, speech-enabled clinical documentation and communication solutions enable healthcare provider organizations to improve financial performance, enhance patient care, and increase patient safety. With more than 10,000 healthcare provider organization customers and 450,000 clinician customers worldwide, Nuance has the experience and solutions that meet the individual needs of any size healthcare provider organization.
Nuance Communications, Inc.
Nuance is a leading provider of speech and imaging solutions for businesses and consumers around the world. Its technologies, applications and services make the user experience more compelling by transforming the way people interact with information and how they create, share and use documents. Every day, millions of users and thousands of businesses experience Nuance’s proven applications and professional services. For more information, please visit www.nuance.com.
Institute for Clinical Systems Improvement
Founded in 1993 by HealthPartners, Mayo Clinic and Park Nicollet Health Services, ICSI today is comprised of 60 medical group and hospital members representing 9,000 physicians in Minnesota and surrounding states, and is sponsored by six health plans in Minnesota and Wisconsin. An independent, nonprofit organization, ICSI’s mission is to champion health care quality and help its members implement best clinical practices for their patients. ICSI is also leading the transformation of the health care system into a more patient-centered and value-driven entity.
Nuance, RadPort, RadCube and the Nuance logo are trademarks or registered trademarks of Nuance Communications, Inc. or its affiliates in the United States and/or other countries. All other company names or product names may be the trademarks of their respective owners.
The statements in this press release, relating to future plans or future events or services, are forward-looking statements which are subject to specific risks and uncertainties. These could involve particular market trends, competition factors and other risks described in the documents submitted to the US Securities and Exchange Commission. The actual results, events and services may vary significantly from the forecasts. The reader is warned not to rely on these forward-looking statements without reservation, since these are simply reflections of the current situation.
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0 Notes From a Conversation With the MGMA’s Leader: William Jessee M.D.
Oct 20, 2010. Insight.Last Friday, EHR Scope’s Founder, Eric Fishman, M.D. had the chance to interview William Jesse, M.D., President and CEO of the Medical Group Management Association (MGMA). The topics covered a range of what will be happening at the MGMA Annual Conference, taking place this weekend in New Orleans. The following is a summary of the key issues at AC10, discussed by Dr. Fishman and Dr. Jessee.
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0 Nuance and IBM Collaborate on Breakthrough Clinical Language Understanding Capabilities for Healthcare
Oct 8, 2010. Dragon Medical, Health Information Technology, News, Press Releases.Continue Reading...Agreement Focused on Advancing Natural Language Processing Technologies to Drive Evidence-Based Care and Improve Patient Outcomes
BURLINGTON, Mass. & ARMONK, N.Y.–(BUSINESS WIRE)–Nuance Communications, Inc. (NASDAQ: NUAN) and IBM (NYSE: IBM) today announced that the companies are working to advance the state-of-the-art in Clinical Language Understanding (CLU) technologies that will enable healthcare organizations to understand and use the clinical information contained in the more than two billion patient reports dictated every year in the U.S. alone. As part of this agreement, teams of leading natural language processing (NLP) researchers at IBM and Nuance are collaborating to integrate the two companies’ technologies. By working together, Nuance and IBM will advance the use of NLP technologies as a core component of electronic health record (EHR) workflows.
“Protecting and encouraging clinician dictation is important to ongoing, high-quality patient care. Without the inclusion of such detailed physician notes, there is validated concern amongst caregivers that patients’ medical records will be reduced to cookie-cutter documents that do not differentiate from one patient to the next.”
With a goal to transform healthcare clinical documentation through advanced technologies, Nuance and IBM are developing systems that will automatically extract and convert discrete, clinical data from clinician dictated narrative into actionable information that can be used to bring a more evidence-based approach to patient care. Advanced CLU capabilities, a healthcare specific form of natural language processing technologies, will help healthcare organizations unlock valuable patient information from the billions of medical reports that are created in a free-form, unstructured format each year. Access to this information will drive better and more cost-effective patient care across the healthcare industry and will strengthen organizations’ efforts to comply with quality reporting and pay-for-performance requirements, such as those outlined in the HITECH Act’s Meaningful Use criteria.
“The broad digitization of health data and patients’ medical records will generate an enormous amount of clinical information, creating a tremendous opportunity for the healthcare industry to gain valuable insight into what has and has not worked successfully from a patient care and operational perspective,” said Dr. John E. Kelly III, IBM senior vice president and director of IBM Research. “With Nuance, we’ll work to ensure healthcare organizations can gain access to, and classify health data to improve patient outcomes and to help lower the cost of healthcare.”
With these advanced CLU technologies integrated into Nuance’s suite of speech recognition solutions, clinicians will be empowered to document via speech recognition into the EHR – the preferred method of documentation for many clinicians – knowing a CLU-enhanced system can process, identify and extract important clinical data elements such as problems, social history, medications, allergies, and procedures from the free-form, narrative text.
“Together, we share a commitment to transform the flow of information and the efficacy of EHRs within healthcare organizations. This unprecedented collaboration, between two leaders in health IT, will help facilitate information exchange and knowledge to deliver actionable data, bend the healthcare cost curve and help improve the care we all receive,” said Paul Ricci, chairman and CEO of Nuance. “By combining our Clinical Language Understanding solutions with the innovative work underway at IBM and Nuance, we will continue to bring unmatched, natural language technologies to the thousands of hospitals and physician practices that rely on Nuance clinical documentation solutions.”
“Nuance and IBM are taking on a critical project that will bring tremendous value to patient care. Clinical language understanding presents a real opportunity to bridge the gap between physicians’ documentation preferences and the need for structured, measurable clinical data,” said Reid F. Conant, MD, FACEP, emergency physician, chief medical informatics officer, Tri-City Emergency Medical Group. “Protecting and encouraging clinician dictation is important to ongoing, high-quality patient care. Without the inclusion of such detailed physician notes, there is validated concern amongst caregivers that patients’ medical records will be reduced to cookie-cutter documents that do not differentiate from one patient to the next.”
To learn more about Nuance’s CLU initiatives and solutions, and to see its full healthcare portfolio, please visit http://www.nuance.com/for-healthcare/resources/nlp.
Nuance’s Healthcare Business
Nuance’s healthcare portfolio of proven, speech-enabled clinical documentation and communication solutions enable healthcare provider organizations to improve financial performance, enhance patient care, and increase patient safety. With more than 10,000 healthcare provider organization customers and 450,000 clinicians worldwide, Nuance has the experience and solutions that meet the individual needs of any size healthcare provider organization.
Nuance Communications, Inc.
Nuance is a leading provider of speech and imaging solutions for businesses and consumers around the world. Its technologies, applications and services make the user experience more compelling by transforming the way people interact with information and how they create, share and use documents. Every day, millions of users and thousands of businesses experience Nuance’s proven applications and professional services. For more information, please visit www.nuance.com.
Nuance and the Nuance logo are trademarks or registered trademarks of Nuance Communications, Inc. or its affiliates in the United States and/or other countries. All other company names or product names may be the trademarks of their respective owners.
The statements in this press release, relating to future plans or future events or services, are forward-looking statements which are subject to specific risks and uncertainties. There are a number of factors which could cause actual events or results to differ materially from those indicated in such forward looking statements, including fluctuations in demand for the Nuance products, the relationship with IBM and the continued development of Nuance products. The reader is warned not to rely on these forward-looking statements without reservation, since these are simply reflections of the current situation. Nuance disclaims any obligation to update any forward-looking statements as a result of developments occurring after the date of this document.
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2 In the News: An Overview of Ingenix CareTracker EMR
Oct 1, 2010. Companies in Action, EHR Profiles, PHR, Spotlight.Ingenix is back in the news with recent CCHIT certification under ONC-ATCB meaningful use guidelines. As more companies are certified and the EMR/ EHR market begins to settle; larger players like Ingenix stand with an advantage. Over the next several months, we will be blogging about specific characteristics that make the most- recent versions of each record system competitive. With this in mind, we thought we would take a more in-depth look at what Ingenix’s EMR software, CareTracker, offers its subscribers.
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0 EHR/ EMR workflow and peripherals; different solutions for different practices
Sep 30, 2010. Dragon Medical, Health Information Technology, Implementation, Insight, News, Opinion, PHR.We all know about the conflict that is being played up about individuals and practices having to “adopt” or “learn new technology” for implementation of an EHR. Perhaps as an industry we are looking at the issue from the wrong direction. While Doctors and practices research the various options for EMRs, PHRs, digital data transmission and maintenance solutions; it is easy to get overwhelmed by the myriad of negative opinion. The focus should be on what different technologies should be added to the current workflow; not on how technologies will change the current workflow. In this light, transitions into cost saving technologies stand a better chance to be fluid and functional.
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4 Dragon Medical 10.1
Jul 27, 2009. Dragon Medical.Dragon Medical Version 10 is by far the best version of speech recognition software that Nuance has manufactured since its inception back in the early 90s. However, one of the major features that Version 10 was lacking was the ability for the software to work on the new 64-bit computers.
Nuance recently announced, Dragon Medical 10.1 which offers:
Microsoft Windows Vista 64-bit Editions Support. Dragon Medical can now be installed and supported on 64-bit operating systems.
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Voice Shortcuts for Medical Web Search. Ability to use shortcuts for WebMD, UpToDate, PubMed and ICD-9.
Medical Templates. Enables you to dictate various visits and medical normals. -
0 Voice Recognition or Speech Recognition
Jul 14, 2009. Dragon Medical.Many people say the term ‘voice recognition,’ however, the correct terminology is to say, ‘speech recognition.’ Voice recognition attempts to recognize your actual voice instead of the actual words that are spoken. While, speech recognition is a system that recognizes the speech pattern and turns your spoken words directly into text.
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2 Research? Seems that 80,000 doctors may feel differently
Feb 2, 2009. Dragon Medical, Insight, Politics and HIT.If you ask Nuance about Dragon Medical, they will proudly state that it is being used by more physicians than any individual EMR/EHR.
Their published statistics indicate that there are currently 80,000 phyisican users of Dragon Medical speech recognition (aka voice recognition) software.
So, needless to say, I was more than a little surprised to find one small comment about it in the 647 page American Recovery and Reinvestment Act of 2009.
But yes, there it is, on page 436, we find the following:
(4) RESEARCH AREAS.—Research areas may include—
(A) interfaces between human information and communications technology systems;
(B) voice-recognition systems;It certainly seems to me that voice-recognition systems should be considered more than ‘Research’!
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1 The Importance of Voice Recognition in an EMR
May 8, 2008. Dragon Medical.In the beginning there was memory. The physician’s memory was the original repository of the patient medical record. Memory was supplemented by handwritten notes on papyri in ancient Egypt and Babylon and on paper from medieval times to the 20th century. With the advent of recording devices in the 20th century, handwritten notes gave way to the infinitely more time effective practice of dictating patient notes into a recorder which were then transcribed into a typewritten or word processed document.
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